...
【24h】

Pediatrics Digest

机译:儿科文摘

获取原文
           

摘要

Sugar-sweetened beverage (SSB) consumption in school-age children and adolescents is linked to heavier weight, and decreased SSB consumption results in less weight gain. Reports regarding these associations among children aged 2 to 5 years have been mixed.Preschool-aged and kindergarten children drinking SSB compared with infrequentondrinkers had higher BMI z scores. SSB consumption is also associated with higher weight status among children aged 2 to 5 years.The incidence of pediatric pneumococcal meningitis has declined after introduction of the 7-valent pneumococcal conjugate vaccine (PCV7). It is unknown whether the frequency of severe neurologic sequelae and adverse outcomes has changed in the era of widespread PCV7 use.Pneumococcal meningitis continues to be associated with substantial mortality and long-term morbidity. Sixty-three percent of survivors had neurologic sequelae. More than one-half of the children who were eligible for PCV7 were unimmunized at the time that they developed pneumococcal meningitis.Readmissions have been identified as a priority area for pediatric inpatient quality measurement nationally. However, it is unknown whether readmission rates vary meaningfully across hospitals and how many hospitals would be identified as high- or low-performers.Only a few hospitals that care for children are high- or low-performers when their condition-specific revisit rates are compared with average rates across hospitals. This limits the usefulness of condition-specific readmission or revisit measures in pediatric quality measurement.The diagnosis of urinary tract infection (UTI) is confirmed by urine testing with urinalysis and culture. No study has characterized the use of urine testing in the setting of empirical antibiotic prescription for outpatient UTI in children.Urine tests are not performed in a substantial percentage of antibiotic-treated pediatric UTIs. Additional research is necessary to determine whether empirical antibiotic prescription for UTI in children without urine testing is safe and effective.Latino children are diagnosed with autism spectrum disorders (ASDs) …
机译:学龄儿童和青少年的含糖饮料(SSB)消费与体重增加有关,SSB消费减少导致体重增加减少。关于2至5岁儿童中这些关联的报道好坏参半。学龄前儿童和幼儿园儿童喝SSB与不经常/不喝酒的人相比,BMI z得分更高。食用SSB还与2至5岁儿童的体重增加有关。引入7价肺炎球菌结合疫苗(PCV7)后,小儿肺炎球菌脑膜炎的发病率有所下降。在广泛使用PCV7的时代,严重的神经系统后遗症和不良后果的发生率是否已改变尚无定论。肺炎球菌性脑膜炎继续与大量死亡率和长期发病率相关。百分之六十三的幸存者患有神经系统后遗症。在患上肺炎球菌性脑膜炎时,有一半以上的PCV7合格儿童没有进行免疫接种。再次入院被确定为全国儿科住院患者质量测量的优先领域。然而,未知的是再入院率在各家医院之间是否存在显着差异,以及有多少家医院被认定为高绩效或低绩效医院,只有少数几家照顾儿童的医院在其特定病情重访率达到与各医院的平均费用相比。这限制了针对病情的再入院或再访措施在儿科质量测量中的实用性。尿路感染(UTI)的诊断通过尿液分析和培养进行尿液测试得以证实。尚无一项研究将尿液检测用于儿童门诊UTI的经验性抗生素处方设置中,但未对相当一部分抗生素治疗的儿科UTI进行尿液检测。需要进一步的研究来确定未经尿液检测的儿童使用UTI的经验性抗生素处方是否安全有效。拉丁裔儿童被诊断患有自闭症谱系障碍(ASD)…

著录项

获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号